Provider Demographics
NPI:1376391706
Name:THOMAS, TIARA JANEE
Entity type:Individual
Prefix:MISS
First Name:TIARA
Middle Name:JANEE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 TUBMAN DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4137
Mailing Address - Country:US
Mailing Address - Phone:443-477-7561
Mailing Address - Fax:
Practice Address - Street 1:203 TUBMAN DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4137
Practice Address - Country:US
Practice Address - Phone:443-477-7561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health